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Acta Paediatr. 2020 Jan 28. doi: 10.1111/apa.15196. [Epub ahead of print]

Epidemiology of severe paediatric trauma following winter sport accidents.

Author information

1
Pediatric Intensive Care Unit, CHU Grenoble-Alpes, La Tronche, France.
2
Pediatric Intensive Care Unit, CHU Sainte-Justine, Montreal, Canada.
3
Réseau Nord-Alpin des Urgences, CH Annecy, Annecy, France.
4
Emergency Department, CH Albertville, Albertville, France.
5
Department of anesthesiology and intensive care medicine, Grenoble Alps Trauma center, Grenoble University Hospital, Grenoble, France.

Abstract

AIM:

This study describes the epidemiology of severe injuries related to winter sports (skiing, snowboarding and sledding) in children and assesses potential preventive actions.

METHODS:

A single-centre retrospective study performed at Pediatric or Adult Intensive Care Unit in the French Alps. All patients less than 15 years old, admitted to the Intensive Care Unit following a skiing, snowboarding or sledding accident from 2011 to 2018, were included.

RESULTS:

We included 186 patients (mean age 10.6 years and 68% were male); of which 136 (73%), 21 (11%) and 29 (16%) had skiing, snowboarding and sledding accidents, respectively. The average ISS (injury severity score) was 16. The major lesions were head (n = 94 patients, 51%) and intra-abdominal (n = 56 patients, 30%) injuries. Compared to skiing/snowboarding, sledding accidents affected younger children (7 vs 11 years, P < .001); most of whom did not wear a helmet (89% vs 8%, P < .001). Severity scores were statistically different amongst winter sports (ISS = 16 (IQR 9-24) for skiing, 9 (IQR 4-16) for snowboarding and 16 (IQR 13-20) for sledding accident, P = .02).

CONCLUSION:

Winter sports can cause severe trauma in children. Sledding accidents affect younger children that may benefit from wearing protective equipment.

KEYWORDS:

children; skiing; sledding; snow sports; trauma

PMID:
31990998
DOI:
10.1111/apa.15196

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